Organization Active NPI

Dr Mark Ross D P M P C

  • Foot & Ankle Surgery Podiatrist
  • Yardley, PA
National Provider Identifier
1912965724
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC002100L Issued in PA
Legal business name
DR MARK ROSS D P M P C
Practice address
301 Oxford Valley Rd
Ste 1106-a
Yardley, PA 19067-7706
Phone
(215) 492-0222
Fax
(215) 493-7662
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark S. Ross, D.P.M.NPI 1285630152
Title
President
Phone
(215) 492-0222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC002100L PA Primary

Addresses

Primary practice location

301 Oxford Valley Rd
Ste 1106-a
Yardley, PA 19067-7706

Mailing address

301 Oxford Valley Rd
Ste 1106-a
Yardley, PA 19067-7718
Phone (215) 492-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040625000240 PA Part B Supplier - Clinic/Group Practice 1759367311 Receives reassigned benefits from 2 practitioners
Practice locations: Yardley, PA
O20240715003130 PA DME Supplier - Physician - Podiatry 1759367311 Practice locations: Yardley, PA

National Provider Directory

National Provider Directory

Locations

301 Oxford Valley Rd
Ste 1106A
Yardley, PA 19067
Phone (215) 492-0222

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1912965724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "STE 1106-A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677718",
            "telephone_number": "215-492-0222",
            "fax_number": "215-493-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OXFORD VALLEY RD",
            "address_2": "STE 1106-A",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677706",
            "telephone_number": "215-492-0222",
            "fax_number": "215-493-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK ROSS D P M P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-492-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002100L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.